recommended imaging schedule for infants younger than 6 months
Last reviewed 01/2018
| Test | Responds well to treatment within 48 hours | Atypical UTI* | Recurrent UTI* |
| Ultrasound during the acute infection | No | Yes*** | Yes |
| Ultrasound within 6 weeks | Yes** | No | No |
| DMSA 4-6 months following the acute infection | No | Yes | Yes |
| MCUG | No | Yes | Yes |
- *
- atypical UTI includes:
- seriously ill
- poor urine flow
- abdominal or bladder mass
- raised creatinine
- septicaemia
- failure to respond to treatment with suitable antibiotics within 48 hours
- infection with non-E. coli organisms
- recurrent UTI:
- two or more episodes of UTI with acute pyelonephritis/upper urinary tract infection, or
- one episode of UTI with acute pyelonephritis/upper urinary tract infection plus one or more episode of UTI with cystitis/lower urinary tract infection, or
- three or more episodes of UTI with cystitis/lower urinary tract infection
- atypical UTI includes:
- **
- if abnormal consider MCUG
- ***
- in an infant or child with a non-E. coli-UTI, responding well to antibiotics and with no other features of atypical infection, the ultrasound can be requested on a non-urgent basis to take place within 6 weeks
Reference: